Feature of Visiting Patients to a Wide Regional Emergency Center According to Insurance Status.
- Author:
Seong Yong JU
1
;
Suck Ju CHO
;
Seong Hwa LEE
;
Hyung Hoi KIM
;
Kwang Hee YEO
;
Seong Yeon HWANG
;
Hyung Bin KIM
;
Young Mo JO
Author Information
1. Department of Emergency Medicine, Pusan National University Hospital, Busan, Korea.
- Publication Type:Original Article
- Keywords:
Insurance;
Medicaid;
Triage
- MeSH:
Adult;
Budgets;
Busan;
Emergencies*;
Emergency Service, Hospital;
Humans;
Insurance Coverage*;
Insurance*;
Korea;
Medicaid;
National Health Programs;
Retrospective Studies;
Social Class;
Triage
- From:Journal of the Korean Society of Emergency Medicine
2016;27(4):360-366
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: In Korea, emergency department overcrowding in large hospitals have caused social concern. Moreover, patients with low socioeconomic status visit the emergency department more frequently. This kind of visitation also causes a burden on the national budget, but emergent patient should be treated in emergency department regardless of economic state. So, on establishment of policy about the patient with low socioeconomic status, the frequency of emergency visitation alone is difficult to obtain a sufficient basis for policy-making. METHODS: We retrospectively analyzed adult patients with a disease who visited the Pusan Wide-regional Emergency Center in 2015. Korean Triage and Acuity Scale level I, II or III were defined as emergency, and level IV or V was defined as non-emergency. The ratio of emergency and non-emergency was compared in the National Health Insurance and Medicaid database. RESULTS: The number of patients with National Health Insurance was 16,208 (90.3%) and with Medicaid was 1,737 (9.7%). Among those with National Health Insurance, there were 12,720 (78.5%) emergency cases and 3,488 (21.5%) non-emergency cases. Among those with Medicaid, 1,379 (79.4%) emergency cases and 358 (20.6%) non-emergency cases. Between National Health Insurance and Medicaid, there was no statistically significant difference in the ratio of emergency and non-emergency (p=0.380) CONCLUSION: Accessibility of emergency and non-emergency patients with National Health Insurance and Medicaid to Pusan Wide-regional Emergency Center was not different.
